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[初级保健与酒精使用障碍:委内瑞拉一项教师发展项目的评估]

[Primary care and alcohol use disorders: evaluation of a faculty-development program in Venezuela].

作者信息

Gaskin de Urdaneta Alvia, Seale J Paul, Fleming Michael, Murray Margaret

机构信息

Facultad de Medicina, La Universidad del Zulia, Maracaibo, Venezuela.

出版信息

Rev Panam Salud Publica. 2002 Aug;12(2):79-85. doi: 10.1590/s1020-49892002000800002.

Abstract

OBJECTIVE

Primary care offers an opportunity to identify and treat persons who drink alcohol above permissible levels. In order to prepare primary care practitioners around the world to prevent and treat alcohol-related problems, the National Institute on Alcohol Abuse and Alcoholism of the United States of America has developed and tested a model international program for educating physicians about such problems. The model was designed to increase the clinical, teaching, and research skills of medical school faculty who work with medical students, residents, and primary care physicians. Venezuela was one of the countries selected for the initiative.

METHODS

During September 1999 a five-day faculty-development course consisting of 19 workshops was conducted at the University of Zulia, which is located in the city of Maracaibo, Zulia, Venezuela. Teaching strategies included class presentations, role plays, case presentations, skills-building workshops, and having each participant develop a teaching plan that he or she would use.

RESULTS

Thirty-three faculty members from 9 of Venezuela's 10 medical schools participated in the project. The 18 female and 15 male participants had an average age of 44 years. The areas of specialization of the 33 participants were: family medicine (9 participants), psychiatry (7), pediatrics (6), obstetrics (4), internal medicine (3), and unspecified (4). Of the 33 participants, 25 of them (76%) completed a six-month follow-up interview. This group said they had significantly increased their competence in 14 clinical areas and that they had successfully implemented new teaching activities within their respective medical schools and residency programs.

CONCLUSIONS

This model proved to be an effective strategy for increasing training for physicians in the prevention and treatment of alcohol-related problems in Venezuela. The evaluation confirms similar findings in other countries where the program has been implemented.

摘要

目的

初级保健提供了一个识别和治疗饮酒量超过许可水平者的机会。为使世界各地的初级保健从业者能够预防和治疗与酒精相关的问题,美利坚合众国国家酒精滥用与酒精中毒研究所制定并测试了一个针对医生进行此类问题教育的国际示范项目。该示范项目旨在提高医学院教师与医学生、住院医师和初级保健医生合作时的临床、教学和研究技能。委内瑞拉是被选参与该倡议的国家之一。

方法

1999年9月,在委内瑞拉苏利亚州马拉开波市的苏利亚大学举办了为期五天、由19个工作坊组成的教师发展课程。教学策略包括课堂讲授、角色扮演、病例展示、技能培养工作坊,以及让每位参与者制定其将使用的教学计划。

结果

委内瑞拉10所医学院中的9所的33名教师参与了该项目。18名女性和15名男性参与者的平均年龄为44岁。33名参与者的专业领域为:家庭医学(9名参与者)、精神病学(7名)、儿科学(6名)、产科学(4名)、内科学(3名)以及未明确说明的(4名)。33名参与者中,有25名(76%)完成了为期六个月的随访访谈。该组表示他们在14个临床领域的能力显著提高,并且他们已在各自的医学院和住院医师培训项目中成功实施了新的教学活动。

结论

该示范项目被证明是委内瑞拉增加医生预防和治疗与酒精相关问题培训的有效策略。评估证实了在其他实施该项目的国家也有类似的发现。

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